Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Bruce K Jackson, M.D.

Cardiovascular Disease Physician in Redondo Beach, CA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609883438

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Registry record

Entity type Individual (Type 1)

Name Mr. Bruce K Jackson

Credential M.D.

Sex Male

Practice address 520 N Prospect Ave, Ste. 300, Redondo Beach, CA, 90277

Phone (310) 372-1156

Fax (310) 372-6504

Enumeration date Aug 2, 2006

Last updated in NPPES Jan 27, 2015

Taxonomy & licenses

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License A24716 (CA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Bruce Jackson?

The National Provider Identifier (NPI) for Bruce Jackson is 1609883438, a Type 1 (individual) record in the CMS NPPES registry.

Where does Bruce Jackson practice?

The practice location on file with NPPES is in Redondo Beach, CA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-01-27.